摘要
目的 探讨膀胱内翻性乳头瘤(IPB)的发病特点及其诊治方法.方法 回顾性分析24例IPB的临床资料.20例采用经尿道膀胱肿瘤电切术(TURBT),4例行膀胱部分切除术,术后膀胱灌注化疗预防复发.结果 患者术后生存良好,20例获得随访3个月～12年,未见肿瘤复发或恶变.结论 IPB是一种少见的尿路上皮肿瘤,预后良好.诊断依赖于膀胱镜检及术后病理检查,TURBT是其标准的治疗方法,术后予膀胱灌注化疗有利于预防复发.
Objective To study the clinical features, diagnosis and treatment of inverted papilloma of the bladder(IPB). Methods Data of 24 cases with IPB were analysed retrospectively and discussed with reference to the literature. 20 patients underwent transurethral resection of the bladder tumor (TURBT) and 4 patients underwent partial cystectomy. All patients were treated with intravesical instillation with chemotherapeutic drugs after the operation to prevent recurrence. Results Recurrence and malignant change were not found postoperatively during a 3-month to 12-year follow-up in 20 cases. Conclusion IPB is a rare urothelial tumor and is featured with good prognosis. Cystoscopic examination in combination with postoperative pathologic study is the most important diagnotic method. TURBT is the standard therapeutic choice. Intravesical instillation with chemotherapeatic drugs after initial operation is beneficial to prevent recurrence.
出处
《现代泌尿外科杂志》
CAS
2005年第3期169-170,共2页
Journal of Modern Urology
